dostęp otwarty

Tom 9, Nr 1 (2024)
Artykuł przeglądowy
Opublikowany online: 2023-11-20
Pobierz cytowanie

Advances in the management of pheochromocytoma – a short review

Michał Miciak1, Krzysztof Jurkiewicz1, Krzysztof Kaliszewski1
Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory 2024;9(1):34-41.
Afiliacje
  1. Department of General, Minimally Invasive and Endocrine Surgery, Wroclaw Medical University, Wroclaw, Poland

dostęp otwarty

Tom 9, Nr 1 (2024)
Artykuły przeglądowe / Review articles – Nowotwory nadnercza / Adrenal tumors
Opublikowany online: 2023-11-20

Streszczenie

Pheochromocytoma is a rare neuroendocrine neoplasm. It is characterized by overproduction of catecholamines, which causes clinical symptoms associated with elevated blood pressure values, and can even lead to life-threatening complications. The tumor can be associated with genetic syndromes such as multiple endocrine neoplasia type 2 (MEN-2) or von Hippel–Lindau syndrome (VHL), and currently available and constantly evolving genetic testing makes it possible to detect the inherited form and plan appropriate therapy. Management of pheochromocytoma is based on initial laboratory diagnosis, confirmation by imaging studies, determination of hormonal activity and resulting therapy. Surgical resection by laparoscopic approach is the most recommended. For unresectable tumors or advanced disease with distant metastases, systemic therapies under development currently allow the cure or inhibition of tumor progression. In this paper, we will review advances in management of pheochromocytoma over the past decade and potential directions for future research.

Streszczenie

Pheochromocytoma is a rare neuroendocrine neoplasm. It is characterized by overproduction of catecholamines, which causes clinical symptoms associated with elevated blood pressure values, and can even lead to life-threatening complications. The tumor can be associated with genetic syndromes such as multiple endocrine neoplasia type 2 (MEN-2) or von Hippel–Lindau syndrome (VHL), and currently available and constantly evolving genetic testing makes it possible to detect the inherited form and plan appropriate therapy. Management of pheochromocytoma is based on initial laboratory diagnosis, confirmation by imaging studies, determination of hormonal activity and resulting therapy. Surgical resection by laparoscopic approach is the most recommended. For unresectable tumors or advanced disease with distant metastases, systemic therapies under development currently allow the cure or inhibition of tumor progression. In this paper, we will review advances in management of pheochromocytoma over the past decade and potential directions for future research.

Pobierz cytowanie

Słowa kluczowe

pheochromocytoma; management; imaging studies; systemic therapy; advances

Informacje o artykule
Tytuł

Advances in the management of pheochromocytoma – a short review

Czasopismo

Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory

Numer

Tom 9, Nr 1 (2024)

Typ artykułu

Artykuł przeglądowy

Strony

34-41

Opublikowany online

2023-11-20

Wyświetlenia strony

41

Wyświetlenia/pobrania artykułu

46

Rekord bibliograficzny

Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory 2024;9(1):34-41.

Słowa kluczowe

pheochromocytoma
management
imaging studies
systemic therapy
advances

Autorzy

Michał Miciak
Krzysztof Jurkiewicz
Krzysztof Kaliszewski

Referencje (55)
  1. Martucci VL, Pacak K. Pheochromocytoma and paraganglioma: diagnosis, genetics, management, and treatment. Curr Probl Cancer. 2014; 38(1): 7–41.
  2. Treiyer A, Janssen M, Kamradt J, et al. [Initial experience of a series of robotic-assisted laparoscopic adrenalectomy]. Actas Urol Esp. 2013; 37(1): 54–59.
  3. Conzo G, Pasquali D, Colantuoni V, et al. Current concepts of pheochromocytoma. Int J Surg. 2014; 12(5): 469–474.
  4. Gunawardane PT, Grossman A. Phaeochromocytoma and Paraganglioma. Adv Exp Med Biol. 2017; 956: 239–259.
  5. Ku EuJ, Kim KJ, Kim JH, et al. Diagnosis for Pheochromocytoma and Paraganglioma: A Joint Position Statement of the Korean Pheochromocytoma and Paraganglioma Task Force. Endocrinol Metab (Seoul). 2021; 36(2): 322–338.
  6. Polanowski P, Kotecka-Blicharz A, Chmielik E, et al. Paragangliomas of the head and neck region. Nowotwory. Journal of Oncology. 2018; 68(3): 132–139.
  7. Buffet A, Burnichon N, Favier J, et al. An overview of 20 years of genetic studies in pheochromocytoma and paraganglioma. Best Pract Res Clin Endocrinol Metab. 2020; 34(2): 101416.
  8. Ma X, Li M, Tong A, et al. Genetic and Clinical Profiles of Pheochromocytoma and Paraganglioma: A Single Center Study. Front Endocrinol (Lausanne). 2020; 11: 574662.
  9. Choi H, Kim KJ, Hong N, et al. Genetic Analysis and Clinical Characteristics of Hereditary Pheochromocytoma and Paraganglioma Syndrome in Korean Population. Endocrinol Metab (Seoul). 2020; 35(4): 858–872.
  10. Ebbehoj A, Li D, Kaur RJ, et al. Epidemiology of adrenal tumours in Olmsted County, Minnesota, USA: a population-based cohort study. Lancet Diabetes Endocrinol. 2020; 8(11): 894–902.
  11. Berends AMA, Buitenwerf E, de Krijger RR, et al. Incidence of pheochromocytoma and sympathetic paraganglioma in the Netherlands: A nationwide study and systematic review. Eur J Intern Med. 2018; 51: 68–73.
  12. Jain A, Baracco R, Kapur G. Pheochromocytoma and paraganglioma-an update on diagnosis, evaluation, and management. Pediatr Nephrol. 2020; 35(4): 581–594.
  13. Neumann HPH, Young WF, Eng C. Pheochromocytoma and Paraganglioma. N Engl J Med. 2019; 381(6): 552–565.
  14. Y-Hassan S, Falhammar H. Cardiovascular Manifestations and Complications of Pheochromocytomas and Paragangliomas. J Clin Med. 2020; 9(8).
  15. Zhao L, Meng Xu, Mei Q, et al. Risk Factors for Cardiac Complications in Patients With Pheochromocytoma and Paraganglioma: A Retrospective Single-Center Study. Front Endocrinol (Lausanne). 2022; 13: 877341.
  16. Foltyński N, Wawryka S. Zespół Wunderlicha z objawami wstrząsu septycznego jako pierwszy objaw raka jasnokomórkowego nerki — opis przypadku klinicznego. Nowotwory. Journal of Oncology. 2015; 65(2): 135–138.
  17. Norton JA, Krampitz G, Jensen RT. Multiple Endocrine Neoplasia: Genetics and Clinical Management. Surg Oncol Clin N Am. 2015; 24(4): 795–832.
  18. Parenti G, Zampetti B, Rapizzi E, et al. Updated and new perspectives on diagnosis, prognosis, and therapy of malignant pheochromocytoma/paraganglioma. J Oncol. 2012; 2012: 872713.
  19. Garcia-Carbonero R, Matute Teresa F, Mercader-Cidoncha E, et al. Multidisciplinary practice guidelines for the diagnosis, genetic counseling and treatment of pheochromocytomas and paragangliomas. Clin Transl Oncol. 2021; 23(10): 1995–2019.
  20. Eisenhofer G, Prejbisz A, Peitzsch M, et al. Biochemical Diagnosis of Chromaffin Cell Tumors in Patients at High and Low Risk of Disease: Plasma versus Urinary Free or Deconjugated -Methylated Catecholamine Metabolites. Clin Chem. 2018; 64(11): 1646–1656.
  21. Joyce CM, Melvin A, O'Shea PM, et al. Case report of a phantom pheochromocytoma. Biochem Med (Zagreb). 2020; 30(2): 021003.
  22. Casey R, Griffin TP, Wall D, et al. Screening for phaeochromocytoma and paraganglioma: impact of using supine reference intervals for plasma metanephrines with samples collected from fasted/seated patients. Ann Clin Biochem. 2017; 54(1): 170–173.
  23. Därr R, Kuhn M, Bode C, et al. Accuracy of recommended sampling and assay methods for the determination of plasma-free and urinary fractionated metanephrines in the diagnosis of pheochromocytoma and paraganglioma: a systematic review. Endocrine. 2017; 56(3): 495–503.
  24. Neary NM, King KS, Pacak K. Drugs and pheochromocytoma--don't be fooled by every elevated metanephrine. N Engl J Med. 2011; 364(23): 2268–2270.
  25. Bílek R, Vlček P, Šafařík L, et al. Chromogranin A in the Laboratory Diagnosis of Pheochromocytoma and Paraganglioma. Cancers (Basel). 2019; 11(4).
  26. Gut P, Czarnywojtek A, Fischbach J, et al. Chromogranin A - unspecific neuroendocrine marker. Clinical utility and potential diagnostic pitfalls. Arch Med Sci. 2016; 12(1): 1–9.
  27. El Lakis M, Gianakou A, Nockel P, et al. Radioguided Surgery With Gallium 68 Dotatate for Patients With Neuroendocrine Tumors. JAMA Surg. 2019; 154(1): 40–45.
  28. Mercado-Asis LB, Wolf KI, Jochmanova I, et al. PHEOCHROMOCYTOMA: A GENETIC AND DIAGNOSTIC UPDATE. Endocr Pract. 2018; 24(1): 78–90.
  29. Kiernan CM, Solórzano CC. Pheochromocytoma and Paraganglioma: Diagnosis, Genetics, and Treatment. Surg Oncol Clin N Am. 2016; 25(1): 119–138.
  30. Antonio K, Valdez MaM, Mercado-Asis L, et al. Pheochromocytoma/paraganglioma: recent updates in genetics, biochemistry, immunohistochemistry, metabolomics, imaging and therapeutic options. Gland Surg. 2020; 9(1): 105–123.
  31. Fishbein L, Leshchiner I, Walter V, et al. Cancer Genome Atlas Research Network. Comprehensive Molecular Characterization of Pheochromocytoma and Paraganglioma. Cancer Cell. 2017; 31(2): 181–193.
  32. Białas M, Okoń K, Dyduch G, et al. Neuroendocrine markers and sustentacular cell count in benign and malignant pheochromocytomas - a comparative study. Pol J Pathol. 2013; 64(2): 129–135.
  33. Su T, Yang Y, Jiang L, et al. SDHB immunohistochemistry for prognosis of pheochromocytoma and paraganglioma: A retrospective and prospective analysis. Front Endocrinol (Lausanne). 2023; 14: 1121397.
  34. Chopko BW. Endovascular treatment of vertebral column metastases using intra-arterial Cisplatin: pilot experience. Case Rep Med. 2014; 2014: 915904.
  35. Biggar MA, Lennard TWJ. Systematic review of phaeochromocytoma in pregnancy. Br J Surg. 2013; 100(2): 182–190.
  36. Conzo G, Musella M, Corcione F, et al. Laparoscopic adrenalectomy, a safe procedure for pheochromocytoma. A retrospective review of clinical series. Int J Surg. 2013; 11(2): 152–156.
  37. Bednarczuk T, Bolanowski M, Sworczak K, et al. Adrenal incidentaloma in adults - management recommendations by the Polish Society of Endocrinology. Endokrynol Pol. 2016; 67(2): 234–258.
  38. De Filpo G, Maggi M, Mannelli M, et al. Management and outcome of metastatic pheochromocytomas/paragangliomas: an overview. J Endocrinol Invest. 2021; 44(1): 15–25.
  39. Amar L, Lussey-Lepoutre C, Lenders JWM, et al. MANAGEMENT OF ENDOCRINE DISEASE: Recurrence or new tumors after complete resection of pheochromocytomas and paragangliomas: a systematic review and meta-analysis. Eur J Endocrinol. 2016; 175(4): R135–R145.
  40. Ramakrishna H. Pheochromocytoma resection: Current concepts in anesthetic management. J Anaesthesiol Clin Pharmacol. 2015; 31(3): 317–323.
  41. Connor D, Boumphrey S. Perioperative care of phaeochromocytoma. BJA Education. 2016; 16(5): 153–158.
  42. Lowery AJ, Walsh S, McDermott EW, et al. Molecular and therapeutic advances in the diagnosis and management of malignant pheochromocytomas and paragangliomas. Oncologist. 2013; 18(4): 391–407.
  43. Krishnappa R, Chikaraddi SB, Arun HN, et al. Pheochromocytoma in Indian patients: a retrospective study. Indian J Cancer. 2012; 49(1): 188–193.
  44. Nemoto K, Miura T, Shioji Go, et al. Sunitinib treatment for refractory malignant pheochromocytoma. Neuro Endocrinol Lett. 2012; 33(3): 260–264.
  45. Tang KL, Lin Yi, Li LM. Diagnosis and surgical treatment of multiple endocrine neoplasia type 2A. World J Surg Oncol. 2014; 12: 8.
  46. Deutschbein T, Fassnacht M, Weismann D, et al. Treatment of malignant phaeochromocytoma with a combination of cyclophosphamide, vincristine and dacarbazine: own experience and overview of the contemporary literature. Clin Endocrinol (Oxf). 2015; 82(1): 84–90.
  47. Ye YL, Yuan XX, Chen MK, et al. Management of adrenal incidentaloma: the role of adrenalectomy may be underestimated. BMC Surg. 2016; 16(1): 41.
  48. Ferrara AM, Lombardi G, Pambuku A, et al. Temozolomide treatment of a malignant pheochromocytoma and an unresectable MAX-related paraganglioma. Anticancer Drugs. 2018; 29(1): 102–105.
  49. Zhang X, Wang X, Qin L, et al. The dual mTORC1 and mTORC2 inhibitor PP242 shows strong antitumor activity in a pheochromocytoma PC12 cell tumor model. Urology. 2015; 85(1): 273.e1–273.e7.
  50. Giubellino A, Sourbier C, Lee MJ, et al. Targeting heat shock protein 90 for the treatment of malignant pheochromocytoma. PLoS One. 2013; 8(2): e56083.
  51. Zhang X, Gao F, Zhong S. Combinatorial Inhibition of mTORC2 and Hsp90 Leads to a Distinctly Effective Therapeutic Strategy in Malignant Pheochromocytoma. Curr Cancer Drug Targets. 2019; 19(9): 698–706.
  52. Corssmit EPM, Snel M, Kapiteijn E. Malignant pheochromocytoma and paraganglioma: management options. Curr Opin Oncol. 2020; 32(1): 20–26.
  53. Jimenez C, Xu G, Varghese J, et al. New Directions in Treatment of Metastatic or Advanced Pheochromocytomas and Sympathetic Paragangliomas: an American, Contemporary, Pragmatic Approach. Curr Oncol Rep. 2022; 24(1): 89–98.
  54. Meireles CG, Lourenço de Lima C, Martins de Paula Oliveira M, et al. Antiproliferative effects of metformin in cellular models of pheochromocytoma. Mol Cell Endocrinol. 2022; 539: 111484.
  55. Tabebi M, Söderkvist P, Gimm O. Nuclear and mitochondrial DNA alterations in pheochromocytomas and paragangliomas, and their potential treatment. Endocr Relat Cancer. 2023; 30(1).

Regulamin

Ważne: serwis https://journals.viamedica.pl/ wykorzystuje pliki cookies. Więcej >>

Używamy informacji zapisanych za pomocą plików cookies m.in. w celach statystycznych, dostosowania serwisu do potrzeb użytkownika (np. język interfejsu) i do obsługi logowania użytkowników. W ustawieniach przeglądarki internetowej można zmienić opcje dotyczące cookies. Korzystanie z serwisu bez zmiany ustawień dotyczących cookies oznacza, że będą one zapisane w pamięci komputera. Więcej informacji można znaleźć w naszej Polityce prywatności.

Czym są i do czego służą pliki cookie możesz dowiedzieć się na stronie wszystkoociasteczkach.pl.

Wydawcą serwisu jest VM Media Group sp. z o.o., ul. Świętokrzyska 73, 80–180 Gdańsk
tel.:+48 58 320 94 94, e-mail: viamedica@viamedica.pl